HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITtau NTY•
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Permit #
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SCANNEDBY
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Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462.6443 .1
ROOF INSPECTION AFFIDAVIT
print name & circld license type)
licensed as a(n)Contractor*/Engineer/Architect
*FS468 Building Inspector
verol, Building, Residential or Roafing Contractor or any Individual certified under 468 F.S, to make such an Inspection.
or about I L- 1 � 0 , 1 did personally inspect the roof deck nailing
(Date) ����
,k at: Ly !— } �� O r" `'ilk
(lob site address)
upon that examination I have determined the installation was done according to the Hurricane
tion Retrofit Manual (Based on 553.844 F,S,)
Signature and Seal
License #
'E OF FLORIDA )
NTYOF V4CC Z-c
to and subscribed before me this day of ^ 20�
I . Who is personally kna n to me or who has produced
as Identification.
otary Public, State of Florida \
ignature of Notary;_
commission Number: —'" DAWN MiWNE
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